Southern Psychiatry Llc

LBN: Southern Psychiatry Llc
Southern Psychiatry Llc is an health care organization with primary practice located at 500 Hospital Dr , Crestview FL 32539-7355. The organization recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is the primary health care specialty. Southern Psychiatry Llc can be contacted via phone (850) 687-0887, or through Mccormack, Renee via phone (850) 687-0887.

Contact Information

Primary practice address
500 Hospital Dr Crestview FL 32539-7355
Phone: (850) 687-0887
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mccormack, Renee Advanced Practice Registered Nurse (APRN)
Phone: (850) 687-0887

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X

Profile Details

NPI number 1467917898
LBN Legal business name Southern Psychiatry Llc
DBA Doing business as
Authorized official Mccormack, Renee Advanced Practice Registered Nurse (APRN)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 11th, 2019
Last updated Dec 15th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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